Design, Synthesis, and Pharmacological Evaluation of Monocyclic

Nov 8, 2012 - report a series of novel PDE5 inhibitors with the new scaffold of the monocyclic ... PDE5 inhibitor, was also approved for the treatment...
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Design, Synthesis, and Pharmacological Evaluation of Monocyclic Pyrimidinones as Novel Inhibitors of PDE5 Guan Wang, Zheng Liu, Tiantian Chen, Zhen Wang, Huaiyu Yang, Mingyue Zheng, Jing Ren, Guanghui Tian, Xiaojun Yang, Li Li, Jianfeng Li, Jin Suo, Rongxia Zhang, XiangRui Jiang, Nicholas Kenneth Terrett, Jing-Shan Shen, Yechun Xu, and Hualiang Jiang J. Med. Chem., Just Accepted Manuscript • Publication Date (Web): 08 Nov 2012 Downloaded from http://pubs.acs.org on November 17, 2012

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Design, Synthesis, and Pharmacological Evaluation of Monocyclic Pyrimidinones as Novel Inhibitors of PDE5 Guan Wang,†,# Zheng Liu,§,# Tiantian Chen,†,# Zhen Wang,† Huaiyu Yang,† Mingyue, Zheng,† Jing Ren,† Guanghui Tian,§ Xiaojun Yang,§ Li Li,† Jianfeng Li,† Jin Suo,† Rongxia Zhang,† Xiangrui Jiang,† Nicholas Kenneth Terrett,§ Jingshan Shen,*,† Yechun Xu,*,† and Hualiang Jiang*,†



CAS Key Laboratory for Receptor Research, Shanghai Institute of

Materia Medica, Chinese Academy of Sciences, 555 Zuchongzhi Road, Shanghai 201203, China §

Vitargeta Therapeutics Inc. Plainsboro, NJ 08536, USA.

ABSTRACT Cyclic nucleotide phosphodiesterase type 5 (PDE5) is a prime drug target for treating the diseases associated with a lower level of the cyclic guanosine monophosphate (cGMP), which is a specific substrate for PDE5 hydrolysis. Here we report a series of novel PDE5 inhibitors with the new scaffold of monocyclic pyrimidin-4(3H)-one ring developed using the structure-based discovery strategy. In total, 37 derivatives of the pyrimidin-4(3H)-ones, were designed, synthesized, and evaluated for 1

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their inhibitory activities to PDE5, resulting in 25 compounds with IC50 ranging from 1 to 100 nM and 11 compounds with IC50 ranging from 1 to10 nM. Compound 5, 5,6-diethyl-2-[2-n-propoxy-5-(4-methyl-1-piperazinylsulfonyl)phenyl]pyr imid-4(3H)-one, the most potent compound, has an excellent IC50 (1.6 nM) in vitro and a good efficacy in a rat model of erection. It thus provides a potential candidate for the further development into a new drug targeting PDE5.

INTRODUCTION Cyclic nucleotide phosphodiesterase type 5 (PDE5), mostly distributed in smooth muscle and found in corpus cavernosum, heart, lung, platelets, prostate, urethra, bladder, liver, brain, and stomach,1-4 is responsible for specifically cleaving the second messenger, cyclic guanosine monophosphate (cGMP).5 Inhibitors of PDE5 prevent the hydrolysis of cGMP, leading to their potential to treat the diseases associated with low cGMP levels.6 PDE5 is thus a prime target for the development of inhibitors which have served as drugs in the treatment of male erectile dysfunction (ED) and cardiovascular diseases. For example, sildenafil, the prototypical member of the PDE5 inhibitors, was approved by FDA in 1998 as the first oral medicine for the treatment of ED,7 and was also launched for the treatment of pulmonary arterial hypertension (PAH) in 2

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2005.6, 8-10 Two other agents, vardenafil and tadalafil, are also used to treat ED and PAH.4, 11 Moreover, tadalafil has received the FDA approval for the treatment of lower urinary tract symptoms (LUTS) in men with benign prostatic hyperplasia (BPH). Another inhibitor, avanafil, as a second generation PDE5 inhibitor, was also approved for the treatment of ED. Despite deficiencies with these inhibitors,12-15 such as the lack of sufficient selectivity against other PDE isozymes, most notably PDE6 or PDE11,16 it has been proved that the inhibition of PDE5 is an effective therapy for the diseases mentioned above and there is continuing interest in discovering novel PDE5 inhibitors. Additionally, the medical application of PDE5 inhibitors for other diseases such as stroke, Raynaud’s disease, overactive bladder, and premature ejaculation has also been indicated.2, 17 The solved crystal structures of the PDE5 catalytic domain in complex with different inhibitors have revealed the characteristic binding interactions of inhibitors with the enzyme. These include mono or bidentate hydrogen bonds (H-bonds) between inhibitors and the residue Q817, hydrophobic interactions, in particular the π-π stacking interactions between the aromatic rings of inhibitors and the hydrophobic clamp mainly composed of residues V782 and F820, and occasionally interactions also formed between inhibitors and two metal ions (Zn2+ and Mg 2+ in most cases) coordinated at the active site of the catalytic 3

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domain9, 18-21. For example, in the crystal structure of PDE5/sildenafil (pdb codes 1UDT and 2H42), bidentate H-bonds are formed between the amide moiety of the pyrazolopyrimidinone of sildenafil and the side-chain of Q817. A third H-bond is formed between the N2 atom of the pyrazol ring and a water molecule that simultaneously forms H-bonds with the side-chain of Y612, the main-chain of D764, and a water molecule coordinating to Zn2+ (Figure 1A). The pyrazole ring as well as the ethoxyphenyl group of sildenafil also interact with residues V782, L785, Y612, F820, F786, A783, and L804, in particular, including a face-to-face π-π stacking interaction with the phenyl ring of F82019, 21. All these available crystal structures associated with the pharmacological data enable us to carry out structure-based discovery or design of more potent and pharmacologically favorable inhibitors of PDE5. We previously designed and synthesized a series of quinazolin-4(3H)-ones by introducing the phenyl ring influenced by the structure of sophoflavescenol instead of the pyrazol ring in sildenafil so as to improve the hydrophobic interactions with the residues of PDE5 and reduce or cancel the interactions of the inhibitor with the metal ions. This finally resulted in inhibitors of PDE5 such as compound 1 (Scheme 1) with similar potency to sildenafil but improved selectivity of PDE5 over PDE6.22 In order to reduce the size of the compound but still keep its the hydrophobic interactions with the enzyme, we designed and synthesized 4

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compound 2, bearing a fused cyclopentene ring instead of the sophoflavescenol-derived substituted phenyl ring in compound 1. However, it turns out that compound 2 displayed a dramatic loss in PDE5 affinity: only 24% inhibition at 1 µM compound concentration. We determined the crystal structure of PDE5 in complex with compound 2 and superimposed it to the structure of PDE5/sildenafil. As we can see from the superimposition of compound 2 and sildenafil in Figure 1B, the scaffold of compound 2 is similar to sildenafil but it is much simplified around the bicyclic rings. Because of its hydrophobic character, the cyclopentene ring in compound 2 binds to the sub-pocket (SP1) created primarily by residues L765, I768, and F820, resulting a shift of the whole compound, thus breaking its perfect π-π stacking interactions with F820 compared to the binding of sildenafil (Figures 1B, 1C and 2B). However, it is surprising to see that the water molecule which forms H-bonds with both residues (Y612 and D764) and the water molecule coordinating to Zn2+ also appear in the complex structure of PDE5/2, although there is no H-bond formed between the compound 2 and the water molecule (Figure 1B). We also find this water molecule in the apo structure of PDE5 (pdb code 2H40) and five other crystal structures of PDE5 in complex with the inhibitors which have a similar scaffold structure and binding position as the pyrazolopyrimidinone of sildenafil. These structures are PDE5 in complex with sildenafil (pdb code 1UDT and 2H42), IBMX (pdb code 5

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1RKP ), 5-ethoxy-4-(1-methyl-7-oxo-3-propyl-6,7-dihydro-1H-pyrazolo[4,3-d]pyr imidin-5-yl)thiophene-2-sulfonamide (pdb code 3BJC), and vardenafil (pdb code 3B2R) (Figure 1C). The resolution of these five selected complex structures is all above 2.5 angstroms in order to see the key water molecules that H-bond with the inhibitors as well as Y612 and D764. It is notable that a water molecule is always present in the structures, and that the hydrophobic substituents on the pyrazol, pyrrole or other heterocyclic ring occupy the same sub-pockets SP1 and SP2 (Figure 1C). This indicates that the binding of the water molecule to the enzyme is strong and acts essentially as a residue of the enzyme. H-bonding of the polar atom in the inhibitor with this water molecule increases its binding affinity to the enzyme. Meanwhile, the hydrophobic substituents on the heterocyclic ring interact with the two sub-pockets nearby. Accordingly, the hydrophobic cyclopentene ring of compound 2 has to bind into the sub-pocket SP1 so as to avoid a close contact with this water molecule. These structural insights inspired us to design and synthesize compound 3, opening the cyclopentene ring and retaining only a planar monocyclic structure in the compound so as to enable the two hydrophobic substituent groups on the pyrimidin-4(3H)-one ring to fit into the two sub-pockets SP1 and SP2. Fortunately, compound 3 6

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exhibited a significant increase in the potency to PDE5 compared to that of compound 2. After that, we designed and synthesized a series of substituted pyrimidones represented by a general structure of 4 to systematically study the monocyclic pyrimidones as inhibitors of PDE5. Among these compounds, compound 5 has an excellent IC50 (1.6 nM), good selectivity (29-fold) over PDE6 in vitro and good efficacy in a rat model of erection. The binding position of compound 5 in its crystal structure with PDE5 is superimposed well on that of sildenafil as shown in Figure 1D, which proved that the ring opening could fully overcome the disadvantages of the cyclopentene ring in compound 2, shift the whole compound back to the same binding location as sildenafil, and thus recover or even improve the potency of the compound against PDE5. Accordingly, our study not only obtained more potent inhibitors of PDE5 but also provided a novel scaffold for further selectivity and metabolism optimization of PDE5 inhibitors. This study therefore presents a good example of the structure-based discovery of potent PDE5 inhibitor. 1. CHEMISTRY We describe herein the synthesis of novel inhibitors of PDE5 bearing a monocyclic pyrimidinone core. To gain a rapid exploration of SAR, two different synthetic routes for bulk preparation of two series of designed derivatives were applied. The synthetic approach to obtain 2-phenylpyrimidin-4(3H)-ones 2, 3, 5, and 9-31 is outlined in Scheme 2. 7

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Compound 7, 2-Propoxy-5-(4-methylpiperazin-1-yl) sulphonylbenzamidine, is the key intermediate, and the synthesis of this compound was reported preciously.23 The reaction of 7 with diethyl malonate, ethyl cyanoacetate, and the appropriate β-ketoesters 8, which were either commercially available or prepared by the procedure described in the literature,24 in DMF with the presence of anhydrous potassium carbonate at 100℃ to obtain substituted pyrimidin-4(3H)-ones. In addition, compound 9 was acetylated using acetic anhydride to yield compound 11, and halogenation of compounds 13 and 15 resulted in compounds 21-26. The effect of the different substituent at the 2’-position of the phenyl ring of pyrimidin-4(3H)-ones was investigated by synthesizing compounds 36-39 using an alternative route outlined in scheme 3. The intermediates, compounds 34, prepared in the manner described in Scheme 2, was halogenated, then treated with chlorosulfonic acid, and finally followed by N-methyl piperazinethe, resulting in the compounds 36-39. 2. RESULTS AND DISCUSSION 3.1 Structure determination of compounds 2 and 5 in complex with the PDE5 catalytic domain The crystal structures of compounds 2 and 5 in complex with the catalytic domain of PDE5 have been determined by soaking the 8

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compounds into the apo PDE5 crystals (space group, P3121), which diffracted to 2.4, and 2.28 angstroms, respectively (Table S1). The (Fo-Fc) difference electron-density maps contoured at 3.0 σ for compounds 2 and 5 in two crystal structures were shown in Figure S1. Similar to the binding of sildenafil with PDE5, both compounds fitted into the substrate binding pocket located in the centre of the C-terminal helical bundle domain of PDE5. However, as mentioned above, the orientation of the two compounds within the binding pocket is different (Figures 1B and D) and their interactions are different too. The program LIGPLOT was used to plot the interactions between the compounds and PDE5 (Figures 2A and B).25 Compound 2 only formed the key bidentate H-bonds with residue Q817, while besides these H-bonds compound 5 also interacts with residue Q775 through a water molecule. Compound 5 formed hydrophobic interactions with multiple residues, Y612, L765, V782, A783, F786, M816, and F820 (Figure 2B). The pyrimidinone ring of 5 is located just between the hydrophobic clamp composed of V782 and F820, and has perfect π-π stacking interactions with the phenyl ring of F820 (Figure S2). Two ethyl groups on the pyrimidinone ring simultaneously occupy two sub-pockets SP1 (created primarily by residues L765, I768, and F820) and SP2 (created primarily by residues Y612, H613, V782, and F786) (Figure 2D). However, in the complex of PDE5/2, as discussed above, the hydrophobic cyclopentene ring of the compound has to bind to 9

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the sub-pocket SP1 in order to avoid close contact with the crucial water molecule which forms H-bonds with two residues and another water molecule coordinating to Zn2+ at the active site of the enzyme (Figures 1B, 1C, 1D, and 2D). The interaction at SP1 results in a shift of the whole compound and thereby breaks the perfect π-π stacking interactions between the pyrimidinone ring and F820 seen in both complexes of PDE5/5 and PDE5/sildenafil. Consequently, hydrophobic interactions were only formed between compound 2 and four residues L725, V782, F786, and F820 (Figure 2A). Compound 2 formed less hydrophobic and H-bond interactions with PDE5, which leads to its much lower potency (only 24% inhibition of PDE5 at 1 µM concentration ) than compound 5 (IC50, 1.6 nM). Therefore, the structural analysis of these two compounds together with other inhibitors including sildenafil binding with PDE5 provide new insights into the substrate binding pocket of the catalytic domain. Consideration of the critical water molecule and the two distinct sub-pockets provides a rationale for designing more potent PDE5 inhibitors with new scaffold such as the monocyclic pyrimidinone. 3.2 SAR of substitution at the 6-position of the 4(3H)-pyrimidinone ring. The initial investigation on the structure-activity relationship (SAR) of the pyrimidin-4(3H)-one derivatives were carried out by substituting the 6-position of the pyrimidinone ring and fixing the 10

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5-[(4-methyl-1-piperazinyl)sulfonyl]-2-propoxyphenyl ring. The inhibition activities of these substituted compounds to PDE5 were presented in Table 1. Compounds 9 and 10 with an amino and a hydroxyl group, respectively, at the 6-position of the 4(3H)-pyrimidinone ring showed little inhibition of PDE5, while compound 11 bearing an acetamido group had a great increase in potency, with an IC50 of 450 nM, suggesting that a hydrophilic substitution at this position is unfavorable to the interaction of inhibitors with the residues in the substrate binding pocket. After the hydrophilic group was replaced by other hydrophobic groups, the resulted compounds 12-16 displayed more potent inhibition activity to PDE5 than those of 2, 9, and 10, which is consistent with our structural understanding mentioned above that the substitute on the 6-position of the pyrimidinone ring tends to form hydrophobic interactions with the enzyme and it indeed binds into the SP2 sub-pocket which has been seen in the PDE5/5 complex structure. Compounds 13 and 15 showed higher PDE5 inhibitory activity than 12, 14, and 16, indicating that the length of alkyl maybe influence the interaction with the sub-pocket and the 2-carbon substituent such as an ethyl group or i-propyl group may be suitable for the pocket. Furthermore, replacing the alkyl group with a phenyl group resulted in a decrease in potency (compound 17), which also implies that the sub-pocket is more favorable in holding an alkyl substituent than an aromatic ring. In the case of 11

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compound 18, a significant loss of potency in comparison with that of 12 might be ascribed to the partial loss of the stacking interaction of the phenyl ring of F820 with the pyrimidinone moiety because of the lack of electron in the pyrimidinone ring caused by the substitution of the strongly electron-withdrawing trifluoromethyl group in this compound. 3.3 SAR of substitution at 5-position of the 4(3H)-pyrimidinone ring On the basis of the above results, we decided to retain the 2-carbon chain, the ethyl or i-propyl group, at the 6-position while surveying various 5-substituted pyrimidin-4(3H)-ones, and the results are summarized in Table 2. The introduction of an acetylamino group at the 5-position of pyrimidin-4(3H)-one drastically decreased the potency in comparison with that of 13. It was quickly discovered that introducing a halogen atom except for fluorin at the 5-position led to a remarkable increase in potency comparable to or even higher than that of 13. Among them, the iodo derivative, compound 23, has the highest IC50 of 7.2 nM. Most significantly, we find that compound 5 with an ethyl group at both the 6- and 5-position of the pyrimidin-4(3H)-one ring exhibited better PDE5 inhibitory activity than sildenafil and showed the highest IC50 (1.6 nM) among all the compounds reported in the present study. Compounds 3 and 27 with a shorter and longer alkyl group than 2-carbon one, respectively, both had less inhibitory activity to PDE5 than that of 5, indicating that the sub-pocket of the enzyme to accommodate the 12

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substituted group at the 5-position of the pyrimidin-4(3H)-one ring is also favorable in interaction with an 2-carbon alkyl group, which is verified by the crystal structure of PDE5/5 complex. Although the introduction of an i-propyl group at the 6-position of the pyrimidinone ring in compound 15 resulted in better inhibitor activity than that of 13 with an ethyl group at the same position, compound 29 with an i-propyl group at the 6-position of the pyrimidinone ring showed a potency 2-fold less than 5. Subsequently, the ethyl group was selected for the 5-position substituent and the methyl and n-propyl groups were individually chosen for the substituent at the 6-position. The compounds 29, 30, and 31 had ~2-fold, 8-fold, and 3-fold, respectively, loss in potency in comparison with that of 5. Therefore, the SAR results presented above indicate that the substituent at both the 5- and the 6-position of the pyrimidin-4(3H)-one moiety are pivotal for determining the inhibition potency of the compounds to PDE5 and consequently, the 5, 6-diethyl-pyrimidin-4(3H)-one showed the strongest inhibition potency among the series of pyrimidin-4(3H)-one analogues. Using compounds 13 (H), 20 (F), 21(Cl), 22 (Br), and 23 (I), we have previously reported that the halogen bond formed between the halogen atom of the compound and the hydroxyl oxygen atom of Y612 in the active site of PDE5 plays important role in binding of the inhibitors with PDE5. 23 The order of halogen-binding contribution to IC50 of these 13

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compounds to PDE5 is 23 (I)> 22 (Br)> 21 (Cl)> 20 (F). Here, the chemical structure of compound 5 is similar to those of the four compounds except the substitution at 5-position of the 4(3H)-pyrimidinone ring is an ethyl group, instead of the halogen atoms. The IC50 of compound 5 is even higher than that of compound 23. It is suggested that the hydrophobic interactions of the ethyl group of 5 with the sub-pocket SP2, mainly composed of the residues F786, V782, Y612, and H613, compensate the missed halogen bonding interactions in PDE5/5 complex, contributing greatly to the binding affinity of compound 5 with PDE5. It is thereby concluded that the optimization of the substitutions at the 5-position of the 4(3H)-pyrimidinone is important for the potency of the pyrimidin-4(3H)-ones. 3.4 SAR of substitution at the 2’-position of the phenyl ring In parallel to establishing SAR at the 6- and 5-position substitutions of the pyrimidinone moiety, we devoted a part of effort to evaluating the effect of the o-alkyl side-chain at the 2’-position of the phenyl ring on its hydrophobic interaction with the enzyme. As shown in Table 3, it is clear that a 3-carbon chain in compounds 24 and 25 resulted in high inhibition potency to PDE5. Therefore, the n-propoxyl group is selected for the substitution at the 2’-position of the phenyl ring of the inhibitors, which contributes the proper hydrophobic interaction with PDE5. 3.5 Selectivity and in vivo study of compound 5 14

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The inhibitions of compound 5 versus 11 PDEs were measured by using sildenafil as a control (Table 4). The inhibition of the compound to PDE2, PDE3, PDE4, PDE7A1, PDE8A1, PDE9A2, PDE10A2 is very weak (IC50 > 10000 nM). The IC50 of 5 to PDE11A4, PDE1, and PDE6C are 2127-, 469-, and 29-fold higher than the IC50 of this compound to PDE5A, respectively. The selectivity profile of sildenafil to the 11 PDEs is similar to that of compound 5. With excellent enzyme inhibition of PDE5 and also good selectivity over other PDEs in vitro, compound 5 was selected for further testing in vivo. The pharmacokinetic data of compound 5 is summarized in Table 5 and the profile generated based on these data is shown in Figure 3. After oral administration of a 10 mg/kg dose of 5 to male rats, a Cmax of 468 ng/ml was obtained at 20 min, and the oral bioavailability of the compound was 10.0%, lower than that of sildenafil (23%)26 . In vivo efficacy of compound 5 was evaluated in the rat model of erection (Figure 4). Intracavernous pressure (ICP) and arterial blood pressure (BP) were simultaneously monitored during electric stimulation before and after the oral administration of compound 5. At a dose of 10 mg/kg, compound 5 significantly increased the ICP/BP value at 30 min, compared to vehicle. It showed a good efficacy as sildenafil did. 3. CONCLUSIONS The structural analysis based on crystal structures of the PDE5 15

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catalytic domain in complex with our compounds as well as other well-known PDE5 inhibitors revealed new characteristics of the inhibitor binding pocket. This includes the two separated sub-pockets and a crucial water molecule, which enable us to design the monocyclic pyrimidin-4(3H)-one as a new scaffold to synthesize the novel, potent, and selective PDE5 inhibitors. Systematical exploration of SAR of the substitutions on the pyrimidine-4(3H)-one moiety resulted in the identification of 25 compounds with IC50 ranging from 1 to100 nM and 11 compounds with IC50 ranging from 1 to10 nM. In particular, the compound 5 has the best IC50, with a value of 1.6 nM, among all these compounds. The crystal structures of PDE5/5, PDE5/2, and PDE5/sildenafil complexes confirmed our rationale to design simpler monocyclic pyrimidin-4(3H)-ones working as potent inhibitors of PDE5. The structures also revealed that simultaneously occupying two sub-pockets by two ethyl groups of monocyclic pyrimidin-4(3H)-ones compensated the H-bond formed with the crucial water molecule which has been seen in the PDE5/sildenafil complex but missed in pyrimidin-4(3H)-ones in complex with PDE5. Moreover, in vivo efficacy studies have revealed that compound 5 exhibited a significant effect on intracavernosal pressure in rats. Further investigation to improve the druggability of this compound through structural modification to seek a potential candidate for clinical study is ongoing. 16

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4. EXPERIMENTAL SECTION 5.1 Chemistry 1

H-NMR spectra was determined using a Mercury 300 MHz, FT NMR

spectrometer. HRMS were performed on a Finnigan MAT95 mass spectrometer. Reaction solvents were purchased and used without further purification. HPLC conditions were as follows: column, YMC-Pack CN 5 µM, 4.6 mm × 250 mm; solvent system, (A) MeCN; (B) 0.02 M KH2PO4 (pH 6.0); step gradient, time 0, 30% A; time 20 min, 70% A; stop time, 25 min; flow rate 1.0 mL/min; UV detection, 220 nm; injection volume, 5 µL; temperature, 30℃. The purity of all target compounds was >95% as confirmed by HPLC. General Procedure for the Synthesis of 2, 3, 5, 9, 10, 12-20 and 27-31 2-[2-n-propoxy-5-(4-methyl-1-piperazinylsulfonyl)phenyl]cyclopenta pyrimid-4(3H)-one (2) A mixture of 5-(4-methylpiperazin-1-ylsulfonyl)-2-propoxybenzimidamide (340 mg, 1 mmol), ethyl 2-oxo-cyclopentane-1-carboxylate (312 mg, 2 mmol), and potassium carbonate (276 mg, 2 mmol) in N,N-Dimethylformamide (5 mL) was stirred at 100 ℃ for 4 h. After cooled to room temperature, the reaction mixture was poured into ice water, and extracted with dichloromethane (3×10 ml). The organic layer was washed with saturated brine, dried over anhydrous sodium sulfate, and concentrated. The residue was purified by flash column chromatography. After crystallization from 17

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ethyl acetate, compound 2 was obtained as a white solid (84 mg, yield: 19%). 1

H-NMR (CDCl3) δ: 10.96 (1H, br), 8.84 (1H, d), 7.82 (1H, dd), 7.15 (1H,

d), 4.25 (2H, t), 3.09 (4H, br), 2.93 (2H, t), 2.85 (2H, t), 2.51 (4H, br), 2.28 (3H, s), 2.16-1.98 (4H, m), 1.15 (3H,t). HRMS (ESI) calcd [M + H]+ for C21H29N4O4S 433.1910, found 433.1916. 5-methyl-6-ethyl-2-[2-n-propoxy-5-(4-methyl-1-piperazinylsulfonyl)p henyl]pyrimid-4(3H)-one (3) Compound 3 was prepared in 63% yield from ethyl 2-methylpropionylacetate and 5-(4-methylpiperazin-1-ylsulfonyl)-2-propoxybenzimidamide following a similar procedure to that described for synthesis of 2. 1H-NMR (CDCl3) δ: 11.02 (1H, br), 8.78 (1H, d), 7.80 (1H, dd), 7.14 (1H, d), 4.22 (2H, t), 3.10 (4H, br), 2.65 (2H, q), 2.54 (4H, br), 2.30 (3H, s), 2.09 (3H, s), 1.99 (2H, m), 1.23 (3H, t), 1.12 (3H, t). HRMS (ESI) calcd [M + H]+ for C21H31N4O4S 435.2066, found 435.2066. 5,6-diethyl-2-[2-n-propoxy-5-(4-methyl-1-piperazinylsulfonyl)phenyl] pyrimid-4(3H)-one (5) Compound 5 was prepared in 65% yield from ethyl 2-ethylpropionylacetate and 5-(4-methylpiperazin-1-ylsulfonyl)-2-propoxybenzimidamide following a similar procedure to that described for synthesis of 2. 1H-NMR (DMSO-d6) δ: 12.06 (1H, br), 7.88 (1H, d), 7.82 (1H, dd), 7.38 (1H, d), 4.12 (2H, t), 2.88 (4H, br), 2.57 (2H, q), 2.46 (2H, q), 2.36 (4H, br), 2.14 18

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Journal of Medicinal Chemistry

(3H, s), 1.75 (2H, m), 1.17 (3H, t), 1.04 (3H, t), 0.96 (3H, t). HRMS (ESI) calcd [M + H]+ for C22H33N4O4S 449.2223, found 449.2227. 6-amino-2-[2-n-propoxy-5-(4-methyl-1-piperazinylsulfonyl)phenyl]py rimid-4(3H)-one (9) Compound 9 was prepared in 38% yield from ethyl cyanoacetate and 5-(4-methylpiperazin-1-ylsulfonyl)-2-propoxybenzimidamide following a similar procedure to that described for synthesis of 2. 1H-NMR (DMSO-d6) δ: 11.25 (1H, br), 7.90 (1H, d), 7.81 (1H, dd), 7.38 (1H, d), 6.56 (2H, br), 5.00 (1H, s), 4.12 (2H, t), 2.87 (4H, br), 2.36 (4H, br), 2.14 (3H, s), 1.75 (2H, m), 0.97 (3H, t). HRMS (ESI) calcd [M + H]+ for C18H26N5O4S 408.1706, found 408.1709. 6-hydroxy-2-[2-n-propoxy-5-(4-methyl-1-piperazinytsulfonyl)phenyl] pyrimid-4(3H)-one (10) Compound 10 was prepared in 41% yield from diethyl malonate and 5-(4-methylpiperazin-1-ylsulfonyl)-2-propoxybenzimidamide following a similar procedure to that described for synthesis of 2. 1H-NMR (DMSO-d6) δ: 8.09 (1H, d), 7.76 (1H, dd), 7.36 (1H, d), 4.52 (1H, s), 4.15 (2H, t), 2.87 (4H, br), 2.36 (4H, br), 2.13 (3H, s), 1.79 (2H, m), 1.01 (3H, t). HRMS (ESI) calcd [M + H]+ for C18H25N4O5S 409.1546, found 409.1549. 6-methyl-2-[2-n-propoxy-5-(4-methyl-1-piperazinylsulfonyl)phenyl]p yrimid-4(3H)-one (12) Compound 12 was prepared in 62% yield from 19

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ethyl acetoacetate and 5-(4-methylpiperazin-1-ylsulfonyl)-2-propoxybenzimidamide following a similar procedure to that described for synthesis of 2. 1H-NMR (CDCl3) δ: 11.03 (1H, br), 8.83 (1H, d), 7.85(1H, dd), 7.16 (1H, d), 6.23 (1H, s), 4.25 (2H, t), 3.07 (4H, br), 2.48 (4H, br), 2.35 (3H, s), 2.26 (3H, s), 2.03 (2H, m), 1.14 (3H, t). HRMS (ESI) calcd [M + H]+ for C19H27N4O4S 407.1753, found 407.1744. 6-ethyl-2-[2-n-propoxy-5-(4-methyl-1-piperazinylsulfonyl)phenyl]pyr imid-4(3H)-one (13) Compound 13 was prepared in 60% yield from ethyl propionylacetate and 5-(4-methylpiperazin-1-ylsulfonyl)-2-propoxybenzimidamide following a similar procedure to that described for synthesis of 2. 1H-NMR (DMSO-d6) δ: 7.89 (1H, d), 7.84 (1H, dd), 7.39 (1H, d), 4.15 (2H, t), 2.89 (4H, br), 2.45 (2H, q), 2.36 (4H, br), 2.16 (3H, s), 1.75 (2H, m), 1.13 (3H, t), 0.96 (3H, t). HRMS (ESI) calcd [M + Na]+ for C20H29N4O4NaS 443.1729, found 443.1736. 6-n-propyl-2-[2-n-propoxy-5-(4-methyl-1-piperazinylsulfonyl)phenyl] pyrimid-4(3H)-one (14) Compound 14 was prepared in 58% yield from ethyl butyrylacetate and 5-(4-methylpiperazin-1-ylsulfonyl)-2-propoxybenzimidamide following a similar procedure to that described for synthesis of 2. 1H-NMR (CDCl3) δ: 11.01 (1H, br), 8.85 (1H, d), 7.85 (1H, dd), 7.15 (1H, d), 6.22 (1H, d), 20

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Journal of Medicinal Chemistry

4.25 (2H, t), 3.07 (4H, br), 2.56 (2H, t), 2.48 (4H, br), 2.26 (3H, s), 2.03 (2H, m), 1.74 (2H, m), 1.14 (3H, t), 0.98 (3H, t). HRMS (ESI) calcd [M + Na]+ for C21H30N4O4SNa 457.1885, found 457.1898. 6-isopropyl-2-[2-n-propoxy-5-(4-methyl-1-piperazinylsulfonyl)phenyl ]pyrimid-4(3H)-one (15) Compound 15 was prepared in 55% yield from ethyl isobutyrylacetate and 5-(4-methylpiperazin-1-ylsulfonyl)-2-propoxybenzimidamide following a similar procedure to that described for synthesis of 2. 1H-NMR (CDCl3) δ: 10.99 (1H, br), 8.87 (1H, d), 7.86 (1H, dd), 7.15 (1H, d), 6.24 (1H, s), 4.25 (2H, t), 3.08 (4H, br), 2.83 (1H, m), 2.49 (4H, br), 2.26 (3H, s), 2.03 (2H, m), 1.26 (6H, d), 1.15 (3H, t). HRMS (ESI) calcd [M + H]+ for C21H31N4O4S 435.2066, found 435.2069. 6-isobutyl-2-[2-n-propoxy-5-(4-methyl-1-piperazinylsulfonyl)phenyl] pyrimid-4(3H)-one (16) Compound 16 was prepared in 65% yield from ethyl isovalerylacetate and 5-(4-methylpiperazin-1-ylsulfonyl)-2-propoxybenzimidamide following a similar procedure to that described for synthesis of 2. 1H-NMR (CDCl3) δ: 11.02 (1H, br), 8.86 (1H, d), 7.86 (1H, dd), 7.15 (1H, d), 6.19 (1H, s), 4.25 (2H, t), 3.07 (4H, br), 2.48 (4H, br), 2.44 (2H, d), 2.26 (3H, s), 2.13 (1H, m), 2.01 (2H, m), 1.15 (3H, t), 0.96 (6H, d). HRMS (ESI) calcd [M + H]+ for C22H33N4O4S 449.2223, found 449.2210. 6-phenyl-2-[2-n-propoxy-5-(4-methyl-1-piperazinylsulfonyl)phenyl]p 21

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yrimid-4(3H)-one (17) Compound 17 was prepared in 67% yield from ethyl benzoylacetate and 5-(4-methylpiperazin-1-ylsulfonyl)-2-propoxybenzimidamide following a similar procedure to that described for synthesis of 2. 1H-NMR (DMSO-d6) δ: 12.44 (1H, br), 8.10-8.05 (2H, m), 8.01 (1H, d), 7.87 (1H, dd), 7.53-7.47 (3H, m), 7.43 (1H, d), 6.91 (1H, s), 4.15 (2H, t), 2.92 (4H, br), 2.37 (4H, br), 2.14 (3H, s), 1.76 (2H, m), 0.95 (3H, t). HRMS (ESI) calcd [M + H]+ for C24H28N4O4S 469.1910, found 469.1916. 6-trifluoromethyl-2-[2-n-propoxy-5-(4-methyl-1-piperazinylsulfonyl) phenyl]pyrimid-4(3H)-one (18) Compound 18 was prepared in 37% yield from ethyl 4,4,4-trifluoroacetoacetate and 5-(4-methylpiperazin-1-ylsulfonyl)-2-propoxybenzimidamide following a similar procedure to that described for synthesis of 2. 1H-NMR (CDCl3) δ: 8.84 (1H, d), 7.92 (1H, dd), 7.19 (1H, d), 6.75 (1H, s), 4.29 (2H, t), 3.08 (4H, br), 2.49 (4H, br), 2.27 (3H, s), 2.04 (2H, m), 1.17 (3H, t). HRMS (ESI) calcd [M + H]+ for C19H24F3N4O4S 461.1470, found 461.1470. 5-acetamido-6-ethyl-2-[2-n-propoxy-5-(4-methyl-1-piperazinylsulfony l)phenyl]pyrimid-4(3H)-one (19) Compound 19 was prepared in 42% yield from ethyl 2-acetamidopropionylacetate and 5-(4-methylpiperazin-1-ylsulfonyl)-2-propoxybenzimidamide following a similar procedure to that described for synthesis of 2. 1H-NMR (DMSO-d6) δ: 12.48 (1H, br), 9.22 (1H, br), 7.88 (1H, d), 7.84 (1H, dd), 22

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Journal of Medicinal Chemistry

7.39 (1H, d), 4.13 (2H, t), 2.91 (4H, br), 2.43 (2H, q), 2.40 (4H, br), 2.16 (3H, s), 2.02 (3H, s), 1.76 (2H, m), 1.13 (3H, t), 0.96 (3H, t). HRMS (ESI) calcd [M + H]+ for C22H32N5O5S 478.2124, found 478.2126. 5-fluoro-6-ethyl-2-[2-propoxy-5-(4-methyl-1-piperazinylsulfonyl)phe nyl]pyrimidin-4(3H)-one (20) Compound 20 was prepared in 72% yield from methyl 2-fluoro-3-oxopentanoate and 5-(4-methylpiperazin-1-ylsulfonyl)-2-propoxybenzimidamide following following a similar procedure to that described for synthesis of 2. 1

H-NMR (CDCl3) δ: 8.80 (1H, d), 7.86 (1H, dd), 7.16 (1H, d), 4.26 (2H,

t), 3.09 (4H, br), 2.74 (2H, q), 2.51 (4H, br), 2.28 (3H, s), 2.03 (2H, m), 1.28 (3H, t), 1.15 (3H, t). HRMS (ESI) calcd [M + Na]+ for C20H27N4O4NaSF 461.1635, found 461.1630. 5-propyl-6-ethyl-2-[2-n-propoxy-5-(4-methyl-1-piperazinylsulfonyl)p henyl]pyrimid-4(3H)-one (27) Compound 27 was prepared in 39% yield from ethyl 2-propylpropionylacetate and 5-(4-methylpiperazin-1-ylsulfonyl)-2-propoxybenzimidamide following a similar procedure to that described for synthesis of 2. 1H-NMR (CDCl3) δ: 10.97 (1H, br), 8.84 (1H, d), 7.82 (1H, dd), 7.13 (1H, d), 4.23 (2H, t), 3.07 (4H, br), 2.65 (2H, q), 2.52 (2H, t), 2.49 (4H, br), 2.26 (3H, s), 2.02 (2H, m), 1.55 (2H, m), 1.26 (3H, t), 1.15 (3H, t), 0.99 (3H, t). HRMS (ESI) calcd [M + H]+ for C23H35N4O4S 463.2379, found 463.2379. 5-methyl-6-isopropyl-2-[2-n-propoxy-5-(4-methyl-1-piperazinylsulfon 23

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yl)phenyl]pyrimid-4(3H)-one (28) Compound 28 was prepared in 54% yield from ethyl 2-methylisobutyrylacetate and 5-(4-methylpiperazin-1-ylsulfonyl)-2-propoxybenzimidamide following a similar procedure to that described for synthesis of 2. 1H-NMR (CDCl3) δ: 10.93 (1H, br), 8.86 (1H, d), 7.83 (1H, dd), 7.13 (1H, d), 4.24 (2H, t), 3.16 (1H, m), 3.08 (4H, br), 2.48 (4H, br), 2.26 (3H, s), 2.12 (3H, s), 2.02 (2H, m), 1.22 (6H, d), 1.15 (3H, t). HRMS (ESI) calcd [M + H]+ for C22H33N4O4S 449.2223, found 449.2227. 5-ethyl-6-isopropyl-2-[2-n-propoxy-5-(4-methyl-1-piperazinylsulfonyl )phenyl]pyrimid-4(3H)-one (29) Compound 29 was prepared in 41% yield from ethyl 2-ethylisobutyrylacetate and 5-(4-methylpiperazin-1-ylsulfonyl)-2-propoxybenzimidamide following a similar procedure to that described for synthesis of 2. 1H-NMR (CDCl3) δ: 10.95 (1H, br), 8.85 (1H, d), 7.82 (1H, dd), 7.13 (1H, d), 4.23 (2H, t), 3.15 (1H, m), 3.07 (4H, br), 2.58 (2H, q), 2.47 (4H, br), 2.25 (3H, s), 2.02 (2H, m), 1.23 (6H, d), 1.14 (3H, t), 1.12 (3H, t). HRMS (ESI) calcd [M + H]+ for C23H35N4O4S 463.2379, found 463.2379. 5-ethyl-6-methyl-2-[2-n-propoxy-5-(4-methyl-1-piperazinylsulfonyl)p henyl]pyrimid-4(3H)-one (30) Compound 30 was prepared in 42% yield from ethyl 2-ethylacetoacetate and 5-(4-methylpiperazin-1-ylsulfonyl)-2-propoxybenzimidamide following a similar procedure to that described for synthesis of 2. 1H-NMR (CDCl3) δ: 24

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Journal of Medicinal Chemistry

11.00 (1H, br), 8.77 (1H, d), 7.80 (1H, dd), 7.12 (1H, d), 4.22 (2H, t), 3.05 (4H, br), 2.55 (2H, q), 2.48(4H, br), 2.37 (3H, s), 2.25 (3H, s), 1.98 (2H, m), 1.13 (3H, t), 1.11 (3H, t). HRMS (ESI) calcd [M + H]+ for C21H31N4O4S 435.2066, found 435.2068. 5-ethyl-6-propyl-2-[2-n-propoxy-5-(4-methyl-1-piperazinylsulfonyl)p henyl]pyrimid-4(3H)-one (31) Compound 31 was prepared in 38% yield from ethyl 2-ethylbutyrylacetate and 5-(4-methylpiperazin-1-ylsulfonyl)-2-propoxybenzimidamide following a similar procedure to that described for synthesis of 2. 1H-NMR (CDCl3) δ: 10.95 (1H, br), 8.82 (1H, d), 7.82 (1H, dd), 7.13 (1H, d), 4.24 (2H, t), 3.07 (4H, br), 2.63-2.55 (4H, m), 2.49 (4H, br), 2.27 (3H, s), 2.03 (2H, m), 1.74 (2H, m), 1.15 (3H, t), 1.14 (3H, t), 1.00 (3H, t). HRMS (ESI) calcd [M + H]+ for C23H35N4O4S 463.2379, found 463.2379. 6-Acetamido-2-[2-n-propoxy-5-(4-methyl-1-piperazinylsulfonyl)phen yl]pyrimid-4(3H)-one (11) The compound 9 (0.20 g, 0.5 mmol) was suspended in acetic anhydride (5 ml), and the mixture was stirred at 100 ˚C for 1 h. The cooled reaction mixture was poured into ice water to generate a white solid. The solid was collected by filtration, washed with clear water (3×10 ml), and dried at 60˚C to give compound 11 (0.12 g, yield: 54%). 1H-NMR (DMSO-d6) δ: 12.16 (1H, br), 10.54 (1H, br), 7.92 (1H, d), 7.84 (1H, dd), 7.40 (1H, d), 6.89 (1H, s), 4.12 (2H, t), 2.88 (4H, br), 2.36 (4H, br), 2.14 (3H, s), 2.08 (3H, s), 1.74 (2H, m), 0.95 (3H, t). 25

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HRMS (ESI) calcd [M + H]+ for C20H28N5O5S 450.1811, found 450.1811. General Procedure for the Synthesis of 21-26 5-Chloro-6-ethyl-2-[2-propoxy-5-(4-methyl-1-piperazinylsulfonyl)phe nyl]pyrimidin-4(3H)-one (21) Chlorine gas was bubbled into an ice-cold solution of 13 (100 mg, 0.24 mmol) and pyridine (40 µL, 0.5 mmol) in dichloromethane (10 mL) for 1 min. The resulting mixture was washed with 1N Na2S2O3 (aq, 5 mL) and water (5 mL). The organic layer was dried over anhydrous sodium sulfate and concentrated in vacuo. After crystallization from ethyl acetate, compound 21 was obtained as white crystals (93 mg, yield 85%). 1H-NMR (CDCl3) δ: 11.25 (1H, br), 8.85 (1H, d), 7.87 (1H, dd), 7.16 (1H, d), 4.27 (2H, t), 3.08 (4H, br), 2.85 (2H, q), 2.49 (4H, br), 2.27 (3H, s), 2.03 (2H, m), 1.29 (3H, t), 1.15 (3H, t). HRMS (ESI) calcd [M + Na]+ for C20H27N4O4NaSCl 477.1339, found 477.1339. 5-Bromo-6-ethyl-2-[2-propoxy-5-(4-methyl-1-piperazinylsulfonyl)phe nyl]pyrimidin-4(3H)-one (22) Bromine (40 mg, 0.27 mmol) was added to an ice-cold solution of 13 (100 mg, 0.24 mmol) and pyridine (22 µL, 0.27 mmol) in dichloromethane (10 mL). The mixture was stirred for 15 min at 0˚C and washed with 1 N Na2S2O3 (aq, 5 mL) and water (5 mL). The organic layer was dried over anhydrous sodium sulfate and concentrated. After crystallization from ethyl acetate, compound 22 was obtained as a white solid (107 mg, yield 90%). 1H-NMR (CDCl3) δ: 11.12 26

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(1H, br), 8.86 (1H, d), 7.88 (1H, dd), 7.16 (1H, d), 4.27 (2H, t), 3.09 (4H, br), 2.88 (2H, q), 2.50 (4H, br), 2.28 (3H, s), 2.03 (2H, m), 1.29 (3H, t), 1.15 (3H, t). HRMS (ESI) calcd [M + Na]+ for C20H27N4O4NaSBr 521.0834, found 521.0834. 5-Iodo-6-ethyl-2-[2-propoxy-5-(4-methyl-1-piperazinylsulfonyl)pheny l]pyrimidin-4(3H)-one (23) Iodine (254 mg, 1 mmol) was added to a solution of 13 (420 mg, 1 mmol) and silver nitrate (170 mg, 1 mmol) in methanol (10 mL) at 0˚C. The mixture was stirred at room temperature for 30 min. After filtration, the filtrate was poured into water (25 mL) and extracted with dichloromethane (20 mL). The organic layer was washed with 1N Na2S2O3 (aq, 5 mL) and water (5 mL), dried, and concentrated. After crystallization from ethyl acetate, 23 was obtained as a white solid (410 mg, 75%). 1H-NMR (CDCl3) δ: 11.12 (1H, br), 8.88 (1H, d), 7.88 (1H, dd), 7.16 (1H, d), 4.27 (2H, t), 3.10 (4H, br), 2.92 (2H, q), 2.52 (4H, br), 2.30 (3H, s), 2.03 (2H, m), 1.28 (3H, t), 1.16 (3H, t). HRMS (ESI) calcd [M + Na]+ for C20H27N4O4NaSI 569.0695, found 569.0704. 5-Chloro-6-isopropyl-2-[2-propoxy-5-(4-methyl-1-piperazinylsulfonyl )phenyl]pyrimidin-4(3H)-one (24) Compound 24 was prepared in 72% yield from 15 following a similar procedure to that described for synthesis of 21. 1H-NMR (CDCl3) δ: 11.20 (1H, br), 8.87 (1H, d), 7.89 (1H, dd), 7.17 (1H, d), 4.28 (2H, t), 3.50 (1H, m), 3.10 (4H, br), 2.51 (4H, br), 2.28 (3H, s), 2.05 (2H, m), 1.27 (6H, d), 1.16 (3H, t). HRMS (ESI) 27

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calcd [M + H]+ for C21H30N4O4SCl 469.1676, found 469.1676. 5-Bromo-6-isopropyl-2-[2-propoxy-5-(4-methyl-1-piperazinylsulfonyl )phenyl]pyrimidin-4(3H)-one (25) Compound 25 was prepared in 68% yield from 15 following a similar procedure to that described for synthesis of 22. 1H-NMR (CDCl3) δ: 11.16 (1H, br), 8.86 (1H, d), 7.89 (1H, dd), 7.16 (1H, d), 4.28 (2H, t), 3.50 (1H, m), 3.09 (4H, br), 2.49 (4H, br), 2.27 (3H, s), 2.03 (2H, m), 1.26 (6H, d), 1.15 (3H, t). HRMS (ESI) calcd [M+H]+ for C21H30N4O4SBr 513.1711, found 513.1715. 5-Iodo-6-isopropyl-2-[2-propoxy-5-(4-methyl-1-piperazinylsulfonyl)p henyl]pyrimidin-4(3H)-one (26) Compound 26 was prepared in 62% yield from 15 following a similar procedure to that described for synthsis of 23. 1H-NMR (CDCl3) δ: 8.90 (1H, d), 7.89 (1H, dd), 7.16 (1H, d), 4.27 (2H, t), 3.46 (1H, m), 3.09 (4H, br), 2.49 (4H, br), 2.27 (3H, s), 2.04 (2H, m), 1.25 (6H, d), 1.16 (3H, t).. HRMS (ESI) calcd [M + H]+ for C21H30N4O4SI 561.1032, found 561.1035. 5-Bromo-6-isopropyl-2-[2-ethoxy-5-(4-methyl-1-piperazinylsulfonyl)p henyl]pyrimidin-4(3H)-one (36) A mixture of 2-ethoxybenzonitrile (20.5 g, 0.14 mol), potassium carbonate (38.5 g, 0.28 mol), and hydroxylamine hydrochloride (19.2 g, 0.28 mol) in a mixed solution of ethanol (100 mL) and water (100 mL) was refluxed for 10 h and the ethanol was removed by vacuum distillation. After the residue was cooled, white solid 32a (18.1 g, 72%) was separated out and collected by 28

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filtration. The solid 32a (18 g, 0.5 mol) was solved in acetic acid (200 mL) and degassed. A catalytic amount of 10% Pd/C was added, and the solution was placed on the shaker under 3 MPa hydrogen at 65℃ for 8h. After the solvent was removed by vacuum distillation, the residue was 33a acetate (13.2 g, 80%) which was not purified. A mixture of 33a acetate (9.4g, 42mmol), ethyl isobutyrylacetate (7.3 g, 46 mmol), and potassium carbonate (11.6 g, 84 mmol) in N,N-Dimethylformamide (80 mL) was stirred at 100℃ for 4 h. The mixture was then cooled to room temperature and taken up in water (400 mL), and the solid was collected by filtration and purified by recrystallization from ethyl acetic to yield 34a (7.7 g, 71%) as white solid. 1

H-NMR (CDCl3) δ: 11.22 (1H, br), 8.52 (1H, dd), 7.48 (1H, t), 7.12 (1H,

t), 7.03 (1H, d), 6.20 (1H, s), 4.29 (2H, q), 2.82 (1H, m), 1.59 (3H, t), 1.27 (6H, d). Bromine (1.9g, 12mmol) was added to an ice-cold solution of 34a (3.2 g, 12 mmol) and pyridine (1 mL) in dichloromethane (150 mL). The mixture was stirred for 10min at 0℃ and washed with 1 N Na2S2O3 (aq, 45 mL) and water (50 mL). The organic layer was dried over anhydrous sodium sulfate and concentrated. After crystallization from ether-acetonitrile, 35a1 (3.3 g, yield 82%) was obtained. 1H-NMR (CDCl3) δ: 8.53 (1H, d), 7.51 (1H, t), 7.13 (1H, t), 7.04 (1H, d), 4.32 (2H, q), 3.51 29

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(1H, m), 1.59 (3H, t), 1.27 (6H, d). Compound 35a1 (0.34 g, 1 mmol) was added portion-wise to an ice-cold chlorosulfonic acid (2 mL). The resulting mixture was stirred for 2 h at 0℃ and then was added dropwise to crushed ice. The mixture was extracted by dichloromethane and the organic layer was added dropwise to a solution of 1-methylpiperazine (0.11 g, 1.1 mmol) and triethylamine (1 mL) in dichloromethane (30 mL) at 0℃. After stirred at 0℃ for 10 min, the reaction mixture was washed with water, dried over anhydrous sodium sulfate and concentrated to give a crude product. After crystallization from ethyl acetate, 36 was yielded (0.38 g, 76%). 1H-NMR (DMSO-d6) δ: 7.91 (1H, d), 7.85 (1H, dd), 7.39 (1H, d), 4.21 (2H, q), 3.36 (1H, m), 2.90 (4H, br), 2.36 (4H, br), 2.14 (3H, s), 1.35 (3H, t), 1.17 (6H, d). HRMS (ESI) calcd [M + H]+ for C20H28N4O4SBr 499.1015, found 499.1017. 5-Bromo-6-isopropyl-2-[2-butoxy-5-(4-methyl-1-piperazinylsulfonyl) phenyl]pyrimidin-4(3H)-one (37) Compound 37 was prepared from 2-butoxybenzonitrile following a similar procedure to that described for 36. 1H-NMR (DMSO-d6) δ: 7.89 (1H, d), 7.85 (1H, dd), 7.39 (1H, d), 4.14 (2H, t), 3.37 (1H, m), 2.90 (4H, br), 2.37 (4H, br), 2.14 (3H, s), 1.71 (2H, m), 1.35 (2H, m), 1.23 (3H, m), 1.15 (6H, d), 0.81 (3H, t). HRMS (ESI) calcd [M + H]+ for C22H32N4O4SBr 527.1328, found 527.1330. 5-Bromo-6-isopropyl-2-[2-hexoxy-5-(4-methyl-1-piperazinylsulfonyl) 30

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phenyl]pyrimidin-4(3H)-one (38) Compound 38 was prepared from 2-hexoxybenzonitrile following a similar procedure to that described for 36. 1H-NMR (DMSO- d6) δ: 7.89 (1H, d), 7.85 (1H, dd), 7.39 (1H, d), 4.14 (2H, t), 3.37 (1H, m), 2.90 (4H, br), 2.37 (4H, br), 2.14 (3H, s), 1.70 (2H, m), 1.35 (2H, m), 1.28-1.19 (4H, m), 1.15 (6H, d), 0.81 (3H, t). HRMS calcd [M + H]+ for C24H36N4O4SBr 555.1641, found 555.1639. 5-Chloro-6-isopropyl-2-[2-ethoxy-5-(4-methyl-1-piperazinylsulfonyl) phenyl]pyrimidin-4(3H)-one (39) Chlorine gas was bubbled into an ice-cold solution of 34a (0.52 g, 2 mmol) and pyridine (0.5 mL) in dichloromethane (20 mL) for 3 min. The resulting mixture was washed with 1N Na2S2O3 (aq, 5 mL) and 1M hydrochloro acid (5 mL). The organic layer was dried over anhydrous sodium sulfate and concentrated in vacuo. After crystallization from ether-acetonitrile, 35a2 was obtained (0.57 g, 98%). 1H-NMR (CDCl3) δ: 8.52 (1H, d), 7.50 (1H, t), 7.13 (1H, t), 7.04 (1H, d), 4.31 (2H, q), 3.49 (1H, m), 1.59 (3H, t), 1.27 (6H, d). Compound 39 was prepared in 70% from 35a2 following a similar procedure to that described for 36. 1H-NMR (DMSO- d6) δ: 7.91 (1H, d), 7.84 (1H, dd), 7.39 (1H, d), 4.21 (2H, q), 3.36 (1H, m), 2.90 (4H, br), 2.37 (4H, br), 2.14 (3H, s), 1.34 (3H, t), 1.17 (6H, d). HRMS (ESI) calcd [M + H]+ for C20H28N4O4SCl 455.1520, found 455.1523. 5.2 Protein purification and crystallization Production of the catalytic domain of recombinant human PDE5A1 31

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followed the protocols of Wang et. al.9 with certain modifications. Briefly, a cDNA fragment encoding PDE5A1 residues 535-860 was cloned into the vector pET15b and the protein was expressed in E.coli. The expressed PDE5A1 was passed through a Ni-NTA column (Qiagen), subjected to thrombin cleavage, and further purified by Q-Sepharose and Superdex75 (GE). The recombinant PDE5A1 with a purity of > 95% was concentrated to ~10 mg/ml for further crystallization. Crystallization of apo PDE5A1 was performed at room temperature using the hanging drop vapor-diffusion method, by mixing equal volumes of the protein and of the precipitant (19-20% (w/v) PEG 3350/200 mM MgSO4/100 mM Tris-HCl at pH 7.5. To obtain a crystalline complex with 2 and 5, a 5 mM solution of the inhibitor in DMSO was diluted 10-fold, to 0.5 mM, in the precipitant solution so as to generate a soaking drop. The crystal was transferred into the soaking drop and left for 24 h prior to data collection. 5.3 Structure determination and refinement Data were collected at 100 K on beamline BL17U at the Shanghai Synchrotron Radiation Facility (SSRF) and were processed with the XDS27 software package. The structures were solved by molecular replacement, using the program PHASER28 with the search model of pdb code 1T9R29. The structure was refined with the simulated-annealing protocol implemented in the program PHENIX30. With the aid of the program Coot31, inhibitors, water molecules, and others were fitted into to 32

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the initial Fo-Fc map. The complete statistics, as well as the quality of the two solved structures, are shown in Table S1. 5.4 Bioassay The synthesized compounds were evaluated for their inhibitory activities against PDE5 isolated from rabbit platelet using [3H]cGMP SPA kit. The experiments were detailed in the Supporting Information. ASSOCIATED CONTENT Supporting Information. Table S1, Figures S1, Figure S2, PDE Assays, in vivo efficacy in the rat model, pharmacokinetics and HPLC of novel compounds. This material is available free of charge via the Internet at http://pubs.acs.org. AUTHOR INFORMATION Corresponding Author *For H.J.: phone, +86 21 50805873; e-mail, [email protected]. For Y.X.: phone, +86 21 50801267; e-mail, [email protected]. For J.S.: phone, +86 21 20231962; e-mail, [email protected]. Author Contributions #

These authors contributed equally to this study.

ACKNOWLEDGMENTS This study was supported by the “100 Talents Project” of CAS (to Y.X.), the National Science and Technology Major Project (No.2009ZX09102-056 and 2012ZX09301001-001), the National 33

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High-tech R&D Program (863 Program) (No.2007AA02Z145), the National Natural Science Foundation of China (No. 91013010 and 21172233), the Key Project of Shanghai Science and Technology Commission for Fundamental Research and Development (No. 08JC1422400), Innovation Fund for Technology Based Firms of Shanghai City (No. 1002H117400). ABBREVIATIONS USED PDE5, phosphodiesterase type 5; cGMP, cyclic guanosine monophosphate; ED, erectile dysfunction; PAH, pulmonary arterial hypertension; LUTS, lower urinary tract symptoms; BPH, benign prostatic hyperplasia; ICP, Intracavernous pressure; BP, blood pressure. REFERENCES (1). Lin, C. S., Tissue expression, distribution, and regulation of PDE5. Int J Impot Res 2004, 16 Suppl 1, S8-S10. (2). Kouvelas, D.; Goulas, A.; Papazisis, G.; Sardeli, C.; Pourzitaki, C., PDE5 inhibitors: in vitro and in vivo pharmacological profile. Curr Pharm Des 2009, 15, 3464-3475. (3). Wallis, R. M.; Corbin, J. D.; Francis, S. H.; Ellis, P., Tissue distribution of phosphodiesterase families and the effects of sildenafil on tissue cyclic nucleotides, platelet function, and the contractile responses of trabeculae carneae and aortic rings in vitro. Am J Cardiol 1999, 83, 3C-12C. 34

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(4).Mohamed, H. A.; Girgis, N. M.; Wilcken, R.; Bauer, M. R.; Tinsley, H. N.; Gary, B. D.; Piazza, G. A.; Boeckler, F. M.; Abadi, A. H., Synthesis and molecular modeling of novel tetrahydro-beta-carboline derivatives with phosphodiesterase 5 inhibitory and anticancer properties. J Med Chem 2011, 54, 495-509. (5). Giordano, D.; De Stefano, M. E.; Citro, G.; Modica, A.; Giorgi, M., Expression of cGMP-binding cGMP-specific phosphodiesterase (PDE5) in mouse tissues and cell lines using an antibody against the enzyme amino-terminal domain. Biochim Biophys Acta 2001, 1539, 16-27. (6). Rawson, D. J.; Ballard, S.; Barber, C.; Barker, L.; Beaumont, K.; Bunnage, M.; Cole, S.; Corless, M.; Denton, S.; Ellis, D.; Floc'h, M.; Foster, L.; Gosset, J.; Holmwood, F.; Lane, C.; Leahy, D.; Mathias, J.; Maw, G.; Million, W.; Poinsard, C.; Price, J.; Russel, R.; Street, S.; Watson, L., The discovery of UK-369003, a novel PDE5 inhibitor with the potential for oral bioavailability and dose-proportional pharmacokinetics. Bioorg Med Chem 2012, 20, 498-509. (7). Rotella, D. P.; Sun, Z.; Zhu, Y.; Krupinski, J.; Pongrac, R.; Seliger, L.; Normandin, D.; Macor, J. E., Optimization of substituted N-3-benzylimidazoquinazolinone sulfonamides as potent and selective PDE5 inhibitors. J Med Chem 2000, 43, 5037-5043. (8).Tollefson, M. B.; Acker, B. A.; Jacobsen, E. J.; Hughes, R. O.; Walker, J. K.; Fox, D. N.; Palmer, M. J.; Freeman, S. K.; Yu, Y.; Bond, B. R., 35

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Page 36 of 63

1-(2-(2,2,2-trifluoroethoxy)ethyl-1H-pyrazolo[4,3-d]pyrimidines as potent phosphodiesterase 5 (PDE5) inhibitors. Bioorg Med Chem Lett 2010, 20, 3125-3128. (9). Wang, H.; Liu, Y.; Huai, Q.; Cai, J.; Zoraghi, R.; Francis, S. H.; Corbin, J. D.; Robinson, H.; Xin, Z.; Lin, G.; Ke, H., Multiple conformations of phosphodiesterase-5: implications for enzyme function and drug development. J Biol Chem 2006, 281, 21469-21479. (10).

Palmer, M. J.; Bell, A. S.; Fox, D. N.; Brown, D. G., Design of

second generation phosphodiesterase 5 inhibitors. Curr Top Med Chem 2007, 7, 405-419. (11).

Schwartz, B. G.; Kloner, R. A., Drug interactions with

phosphodiesterase-5 inhibitors used for the treatment of erectile dysfunction or pulmonary hypertension. Circulation 2010, 122, 88-95. (12).

Doggrell, S. A., Comparison of clinical trials with sildenafil,

vardenafil and tadalafil in erectile dysfunction. Expert Opin Pharmacother 2005, 6, 75-84. (13).

Eardley, I.; Cartledge, J., Tadalafil (Cialis) for men with erectile

dysfunction. Int J Clin Pract 2002, 56, 300-304. (14).

Gresser, U.; Gleiter, C. H., Erectile dysfunction: comparison of

efficacy and side effects of the PDE-5 inhibitors sildenafil, vardenafil and tadalafil--review of the literature. Eur J Med Res 2002, 7, 435-446. (15).

Giovannoni, M. P.; Vergelli, C.; Biancalani, C.; Cesari, N.; 36

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Graziano, A.; Biagini, P.; Gracia, J.; Gavalda, A.; Dal Piaz, V., Novel pyrazolopyrimidopyridazinones with potent and selective phosphodiesterase 5 (PDE5) inhibitory activity as potential agents for treatment of erectile dysfunction. J Med Chem 2006, 49, 5363-5371. (16).

Pissarnitski, D., Phosphodiesterase 5 (PDE 5) inhibitors for the

treatment of male erectile disorder: attaining selectivity versus PDE6. Med Res Rev 2006, 26, 369-395. (17).

Sandner, P.; Hutter, J.; Tinel, H.; Ziegelbauer, K.; Bischoff, E.,

PDE5 inhibitors beyond erectile dysfunction. Int J Impot Res 2007, 19, 533-543. (18).

Card, G. L.; England, B. P.; Suzuki, Y.; Fong, D.; Powell, B.; Lee,

B.; Luu, C.; Tabrizizad, M.; Gillette, S.; Ibrahim, P. N.; Artis, D. R.; Bollag, G.; Milburn, M. V.; Kim, S. H.; Schlessinger, J.; Zhang, K. Y., Structural basis for the activity of drugs that inhibit phosphodiesterases. Structure 2004, 12, 2233-2247. (19).

Sung, B. J.; Hwang, K. Y.; Jeon, Y. H.; Lee, J. I.; Heo, Y. S.; Kim,

J. H.; Moon, J.; Yoon, J. M.; Hyun, Y. L.; Kim, E.; Eum, S. J.; Park, S. Y.; Lee, J. O.; Lee, T. G.; Ro, S.; Cho, J. M., Structure of the catalytic domain of human phosphodiesterase 5 with bound drug molecules. Nature 2003, 425, 98-102. (20).

Chen, G.; Wang, H.; Robinson, H.; Cai, J.; Wan, Y.; Ke, H., An

insight into the pharmacophores of phosphodiesterase-5 inhibitors from 37

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synthetic and crystal structural studies. Biochem Pharmacol 2008, 75, 1717-1728. (21).

Wang, H.; Ye, M.; Robinson, H.; Francis, S. H.; Ke, H.,

Conformational variations of both phosphodiesterase-5 and inhibitors provide the structural basis for the physiological effects of vardenafil and sildenafil. Mol Pharmacol 2008, 73, 104-110. (22).

Duan, H.; Zheng, J.; Lai, Q.; Liu, Z.; Tian, G.; Wang, Z.; Li, J.;

Shen, J., 2-Phenylquinazolin-4(3H)-one, a class of potent PDE5 inhibitors with high selectivity versus PDE6. Bioorg Med Chem Lett 2009, 19, 2777-2779. (23). Xu, Z.; Liu, Z.; Chen, T.; Wang, Z.; Tian, G.; Shi, J.; Wang, X.; Lu, Y.; Yan, X.; Wang, G.; Jiang, H.; Chen, K.; Wang, S.; Xu, Y.; Shen, J.; Zhu, W., Utilization of halogen bond in lead optimization: a case study of rational design of potent phosphodiesterase type 5 (PDE5) inhibitors. J Med Chem 2011, 54, 5607-5611. (24).

Jones, S. M.; Urch, J. E.; Kaiser, M.; Brun, R.; Harwood, J. L.;

Berry, C.; Gilbert, I. H., Analogues of thiolactomycin as potential antimalarial agents. J Med Chem 2005, 48, 5932-5941. (25).

Wallace, A. C.; Laskowski, R. A.; Thornton, J. M., LIGPLOT: a

program to generate schematic diagrams of protein-ligand interactions. Protein Eng. 1995, 8, 127-134. (26).

Walker, D. K.; Ackland, M. J.; James, G. C.; Muirhead, G. J.; 38

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Rance, D. J.; Wastall, P.; Wright, P. A., Pharmacokinetics and metabolism of sildenafil in mouse, rat, rabbit, dog and man. Xenobiotica 1999, 29, 297-310. (27).

Kabsch, W., Xds. Acta Crystallogr. D Biol. Crystallogr. 2010, 66,

125-132. (28).

McCoy, A. J., Solving structures of protein complexes by

molecular replacement with Phaser. Acta Crystallogr D Biol Crystallogr 2007, 63, 32-41. (29).

Zhang, K. Y.; Card, G. L.; Suzuki, Y.; Artis, D. R.; Fong, D.;

Gillette, S.; Hsieh, D.; Neiman, J.; West, B. L.; Zhang, C.; Milburn, M. V.; Kim, S. H.; Schlessinger, J.; Bollag, G., A glutamine switch mechanism for nucleotide selectivity by phosphodiesterases. Mol Cell 2004, 15, 279-286. (30).

Adams, P. D.; Grosse-Kunstleve, R. W.; Hung, L. W.; Ioerger, T.

R.; McCoy, A. J.; Moriarty, N. W.; Read, R. J.; Sacchettini, J. C.; Sauter, N. K.; Terwilliger, T. C., PHENIX: building new software for automated crystallographic structure determination. Acta Crystallogr. D Biol. Crystallogr. 2002, 58, 1948-1954. (31).

Emsley, P.; Cowtan, K., Coot: model-building tools for molecular

graphics. Acta Crystallogr. D Biol. Crystallogr. 2004, 60, 2126-2132.

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Schemes Scheme 1. Discovery of monocyclic pyrimidinones as novel inhibitors of PDE5

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Scheme 2. The synthesis of compounds with monocyclic pyrimidinone core O OPr

OPr NH CN

OPr CN

O2 S

O2 S

N N

R2

OEt R1 c

NH2

b

a

8

R1 R

NH

2

OPr

N

O2 S

N N

CH3

6

O

O

N N

CH 3

2,3,5,12-20, 27-31

7

Me

O OPr NH NH NH 2 d or e O 2S

R

3

O2S 9

CH3 f

7

N N

Me

O NH

X

OPr g

N

O2 S

13 R =Et 15 R4=i-Pr

R4

NH

OPr

N

O2S

N N

4

R 3 =NH2

11 R 3 =AcNH 10 R 3 =OH

O

R4

N

N N

OPr

N N

Me

Me

4

21-23 R =Et 21 X=Cl 22 X=Br 23 X=I 24-26 R 4=i-Pr 24 X=Cl 25 X=Br 26 X=I

Reagents and conditions: (a) (i) HSO3Cl, 0°C; (ii) N-methyl piperazine, Et3N, DCM, 0°C; (b) LiHMDS, THF, room temp; (c) K2CO3, DMF, 100 °C; (d) Ethyl cyanoacetate, K2CO3, DMF, 100 °C; (e) Diethyl malonate, K2CO3, DMF, 100 °C; (f) Ac2O, 80 °C; (g) Cl2, Et3N, DCM, 0°C; or Br2, Et3N, DCM, 0 °C; or I2, AgNO3, MeOH, room temperature.

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Scheme 3. The synthesis of compounds 36-39 O OR 5 NC

NH 2 OR5

NH2 OR 5 a

HO

b

N

NH c

HN

H 3C

OR 5 d

N CH3

32a R 5=Et 32b R 5=n-Bu 32c R 5=n-Hex

33a R 5=Et 33b R 5=n-Bu 33c R 5=n-Hex O

O X H3 C

34a R 5=Et 34b R 5=n-Bu 34c R 5=n-Hex

NH

OR 5

N

X

e

NH

H 3C

OR5

N CH 3

CH 3 35a1 R5 =Et 35a2 R5 =Et 35b R5 =n-Bu 35c R 3=n-Hex

X=Br X=Cl X=Br X=Br

O 2S 36-39

N N

CH3

Reagents and conditions: (a) Hydroxylamine hydrochloride, K2CO3, Methanol, and water; (b) H2 (3MPa) / Pd-C; (c) Ethyl isobutyrylacetate, K2CO3, DMF, 100°C; (d) Cl2 (g), Et3N, DCM, 0°C; or Br2, Et3N, DCM, 0 °C; (e) (i) HSO3Cl, 0°C; (ii) N-methyl piperazine, Et3N, DCM, 0°C.

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Tables Table 1. SAR of substitution at the 6-position of the 4(3H)-pyrimidinone ring O R1 2

R

NH

OPr

N

O 2S

N N

Compound

R1

R2

IC50(nM)

Sildenafil

-

-

3.9

2

a

CH3

>1000

9

H

NH2

>2000

10

H

OH

>2000

11

H

AcNH

450

12

H

Me

71

13a

H

Et

52

14

H

n-Pr

65

15

H

i-Pr

31.5

16

H

i-Bu

88

17

H

Ph

104

18

H

CF3

312

Compound has been reported in our previous study (reference 23).

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Table 2. SAR of substitution at the 5-position of the 4(3H)-pyrimidinone ring O R1 2

R

NH

OPr

N

O 2S

N N

CH3

Compound

R1

R2

IC50 (nM)

Sildenafil

-

-

3.9

19

AcNH

Et

>2000

20a

F

Et

91

21 a

Cl

Et

36

22 a

Br

Et

13

23 a

I

Et

7.2

24

Cl

i-Pr

6.6

25

Br

i-Pr

7.2

26

I

i-Pr

5.8

3

Me

Et

12.5

5

Et

Et

1.6

27

n-Pr

Et

34.3

28

Me

i-Pr

4.8

29

Et

i-Pr

3.0

30

Et

Me

13.7

31

Et

n-Pr

4.8

a

Compounds have been reported in our previous study (reference 23).

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Table 3. SAR of substitution at the 2’-position of the phenyl ring O X Me

NH

OR

N Me O2 S

N N

CH3

Compound

X

R

IC50 (nM)

Sildenafil

-

-

3.9

25

Br

n-Pr

7.2

36

Br

Et

8.5

37

Br

n-Bu

41

38

Br

n-Hex

58

24

Cl

n-Pr

6.6

39

Cl

Et

12.6

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Table 4. Inhibition selectivity of compound 5 and sildenafil over 11 PDEs PDEs

IC50 (nM) 5

Sildenafil

PDE5A

1.6

3.9

PDE1

741

230

PDE2

>10000

>10000

PDE3

>10000

7310

PDE4

>10000

5830

PDE6C

45.6

39.2

PDE7A1

>10000

4690

PDE8A1

>10000

>10000

PDE9A2

>10000

>10000

PDE10A2

>10000

>10000

PDE11A4

3360

4210

Table 5. Pharmacokinetic data of compound 5 in Rats Dose

route

(mg/kg)

CL

V

MRT0-10h

AUC0-10h

Cmax

t1/2

Tmax

F

(L/h/kg)

(L/kg)

(h)

(ug/L*h)

(ug/L)

(h)

(h)

(%)

-

-

5

iv

1.17±0.35

2.07±0.13

0.81±0.44

4474±1147

-

1.29±0.35

10

oral

-

-

3.09±0.48

895±376

468±300

3.94±0.65

0.25 10.0 (0.25-0.5) Data are expressed as mean ± SD (n=3), or median (range).

46

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Journal of Medicinal Chemistry

Figures

Figure 1. A crucial water molecule in the crystal structures of PDE5 in complex with different inhibitors. The complex structures were superimposed by fitting all the Cα atoms of the enzyme. (A) The H-bond interactions of the water molecule with sildenafil, side-chain residues, and the other water molecule in the complex structure of PDE5/sildenafil (pdb code 2H42). (B) Superimposition of compound 2 and sildenafil as well as the crucial water molecule. (C) Superimposition of inhibitors in five complex structures with pdb codes 1UDT (cyan), 2H42 (green), 1RKP (magenta), 3BJC (yellow), and 3B2R (wheat). The water molecules at the same location in these five complex structures as well as in the apo structure (pdb code 2H40, red) are shown as colored balls. SP1 and SP2 represent two sub-pockets that interact with substituents of the 47

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Page 48 of 63

pyrazol, pyrrole or other heterocyclic rings of the inhibitors. (D) Superimposition of compound 5 with sildenafil as well as the key water molecule.

Figure 2. The interactions between two compounds (2 and 5) and PDE5 in crystal structures of their complexes. (A, B) LIGPLOT representations of the interactions of compounds 2 (A) and 5 (B) with the enzyme. (C, D) Molecular surface of the binding pockets for compounds 2 (C) and 5 (D) in their complex structures with the PDE5 catalytic domain. The crucial water molecule is shown as a red ball and the H-bonds formed between it and the residues are labeled with black dash lines. 48

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Journal of Medicinal Chemistry

Figure 3. Mean plasma concentrations of compound 5 in male rat, after single p.o. 10 mg/kg (◆) & i.v 5 mg/kg (●). Data used to generate the profile are the Mean±SD from three male rats (individual samples at all time points).

Figure 4. Effect of compound 5 on ICP/BP 30 min after p.o. administration (10 mg/kg) in the rat erection model. Data are expressed as Mean ± SD (n=3). Percentage increase: ((ICP/BP)after-(ICP/BP)before) /(ICP/BP)before100%, *: compared with vehicle P1000

9

H

NH2

>2000

10

H

OH

>2000

11

H

AcNH

450

12

H

Me

71

13a

H

Et

52

14

H

n-Pr

65

15

H

i-Pr

31.5

16

H

i-Bu

88

17

H

Ph

104

18

H

CF3

312

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1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60

O R1 2

R

NH

OPr

N

O 2S

N N

CH3

Compound

R1

R2

IC50 (nM)

Sildenafil

-

-

3.9

19

AcNH

Et

>2000

20a

F

Et

91

21 a

Cl

Et

36

22 a

Br

Et

13

23 a

I

Et

7.2

24

Cl

i-Pr

6.6

25

Br

i-Pr

7.2

26

I

i-Pr

5.8

3

Me

Et

12.5

5

Et

Et

1.6

27

n-Pr

Et

34.3

28

Me

i-Pr

4.8

29

Et

i-Pr

3.0

30

Et

Me

13.7

31

Et

n-Pr

4.8

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Journal of Medicinal Chemistry

O X Me

NH

OR

N Me O2 S

N N

CH3

Compound

X

R

IC50a

Sildenafil

-

-

3.9

25

Br

n-Pr

7.2

36

Br

Et

8.5

37

Br

n-Bu

41

38

Br

n-Hex

58

24

Cl

n-Pr

6.6

39

Cl

Et

12.6

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1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60

PDEs

IC50 (nM) 5

Sildenafil

PDE5A

1.6

3.9

PDE1

741

230

PDE2

>10000

>10000

PDE3

>10000

7310

PDE4

>10000

5830

PDE6C

45.6

39.2

PDE7A1

>10000

4690

PDE8A1

>10000

>10000

PDE9A2

>10000

>10000

PDE10A2

>10000

>10000

PDE11A4

3360

4210

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Journal of Medicinal Chemistry

Dose

route

(mg/kg)

CL

V

MRT0-10h

AUC0-10h

Cmax

t1/2

Tmax

F

(L/h/kg)

(L/kg)

(h)

(ug/L*h)

(ug/L)

(h)

(h)

(%)

-

-

5

iv

1.17±0.35

2.07±0.13

0.81±0.44

4474±1147

-

1.29±0.35

10

oral

-

-

3.09±0.48

895±376

468±300

3.94±0.65

0.25 10.0 (0.25-0.5)

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1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60

Discovery of monocyclic pyrimidinones as novel inhibitors of PDE5 167x106mm (300 x 300 DPI)

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Journal of Medicinal Chemistry

The synthesis of compounds with monocyclic pyrimidinone core Reagents and conditions: (a) (i) HSO3Cl, 0°C; (ii) N-methyl piperazine, Et3N, DCM, 0°C; (b) LiHMDS, THF, room temp; (c) K2CO3, DMF, 100 °C; (d) Ethyl cyanoacetate, K2CO3, DMF, 100 °C; (e) Diethyl malonate, K2CO3, DMF, 100 °C; (f) Ac2O, 80 °C; (g) Cl2, Et3N, DCM, 0°C; or Br2, Et3N, DCM, 0 °C; or I2, AgNO3, MeOH, room temperature 165x176mm (300 x 300 DPI)

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The synthesis of compounds 36-39 Reagents and conditions: (a) Hydroxylamine hydrochloride, K2CO3, Methanol, and water; (b) H2 (3MPa) / Pd-C; (c) Ethyl isobutyrylacetate, K2CO3, DMF, 100°C; (d) Cl2 (g), Et3N, DCM, 0°C; or Br2, Et3N, DCM, 0 °C; (e) (i) HSO3Cl, 0°C; (ii) N-methyl piperazine, Et3N, DCM, 0°C. 171x95mm (300 x 300 DPI)

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Journal of Medicinal Chemistry

A crucial water molecule in the crystal structures of PDE5 in complex with different inhibitors. The complex structures were superimposed by fitting all the Cα atoms of the enzyme. (A) The H-bond interactions of the water molecule with sildenafil, side-chain residues, and the other water molecule in the complex structure of PDE5/sildenafil (pdb code 2H42). (B) Superimposition of compound 2 and sildenafil as well as the crucial water molecule. (C) Superimposition of inhibitors in five complex structures with pdb codes 1UDT (cyan), 2H42 (green), 1RKP (magenta), 3BJC (yellow), and 3B2R (wheat). The water molecules at the same location in these five complex structures as well as in the apo structure (pdb code 2H40, red) are shown as colored balls. SP1 and SP2 represent two sub-pockets that interact with substituents of the pyrazol, pyrrole or other heterocyclic rings of the inhibitors. (D) Superimposition of compound 5 with sildenafil as well as the key water molecule. 127x101mm (300 x 300 DPI)

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The interactions between two compounds (2 and 5) and PDE5 in crystal structures of their complexes. (A, B) LIGPLOT representations of the interactions of compounds 2 (A) and 5 (B) with the enzyme. (C, D) Molecular surface of the binding pockets for compounds 2 (C) and 5 (D) in their complex structures with the PDE5 catalytic domain. The crucial water molecule is shown as a red ball and the H-bonds formed between it and the residues are labeled with black dash lines. 84x81mm (300 x 300 DPI)

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Journal of Medicinal Chemistry

Mean plasma concentrations of compound 5 in male rat, after single p.o. 10 mg/kg (◆) & i.v 5 mg/kg (●). Data used to generate the profile are the Mean±SD from three male rats (individual samples at all time points). 174x129mm (89 x 89 DPI)

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Effect of compound 5 on ICP/BP 30 min after p.o. administration (10 mg/kg) in the rat erection model. Data are expressed as Mean ± SD (n=3). Percentage increase: ((ICP/BP)after-(ICP/BP)before) /(ICP/BP)before100%, *: compared with vehicle P